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精神分裂症中的认知活动方面

Aspects of cognitive activity in schizophrenia.

作者信息

Tissot R, Burnand Y

出版信息

Psychol Med. 1980 Nov;10(4):657-63. doi: 10.1017/s0033291700054957.

Abstract

The application of Piaget's genetic psychology tests to schizophrenic patients yielded the following findings. The intelligence quotient of schizophrenics, although within the normal range, is slightly lower than that of a control population of similar age. This is due not to a loss of the operations of the intellect, but to a difficulty experienced by the patients in actualizing the operations. The difficulty is seen particularity in operations dealing with specific objects which require a constant maintenance of the equilibrium between assimilation and accommodation. The thought processes of hebephrenic patients oscillate between excessive assimilation, resulting in distortion of observable data, and excessive accommodation which by adhering to the observable data distorts the reasoning processing. The thought processes of paranoid schizophrenics are dominated by excessive assimilation. This predominance explains their tendency to distort observable data and their difficulty in the generalization of reasoning; it also has an impact on the assimilation/accommodation equilibrium of thier logical operations, leading to (a) difficulties in delimiting reflecting abstractions, and therefore the comprehension and extension of concepts, and (b) loss of proof based on logico-mathematical reasoning and, as a result, a propensity to resort to magical thinking and subjective explanations.

摘要

将皮亚杰的发生心理学测试应用于精神分裂症患者,得出了以下结果。精神分裂症患者的智商虽处于正常范围,但略低于年龄相仿的对照组人群。这并非由于智力运算能力的丧失,而是患者在将这些运算付诸实际时遇到了困难。这种困难在处理特定物体的运算中尤为明显,因为这需要在同化和顺应之间持续保持平衡。青春型精神分裂症患者的思维过程在过度同化(导致可观察数据扭曲)和过度顺应(因拘泥于可观察数据而扭曲推理过程)之间摇摆不定。偏执型精神分裂症患者的思维过程则以过度同化为主导。这种主导性解释了他们扭曲可观察数据的倾向以及推理概括方面的困难;这也对其逻辑运算的同化/顺应平衡产生影响,导致(a)在界定反思性抽象方面存在困难,进而影响概念的理解和外延,以及(b)基于逻辑数学推理的论证缺失,结果倾向于诉诸魔幻思维和主观解释。

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